Nomination Category: *
Nominee Name and Contact Information:
*
*
Phone: (250-123-4567)*
Email: *
 

Please submit any additional information (including photos, news stories, articles, plans, etc) by email to sustainability@vernon.ca, in person at City Hall or by fax to 250-545-5309. Nomination forms can also be downloaded from www.vernon.ca/sustainability_awards and submitted in person or by fax.

Please email any additional information (including photos, news stories, articles, plans, etc) to sustainability@vernon.ca.
Nomination forms can also be downloaded from www.vernon.ca/sustainability_awards and submitted in person at City Hall or faxed to 250-545-5309.

 
Brief Description of Nominee's Contributions to Sustainability in Vernon (submit additional information if necessary):
 
Background Material to Support the Nomination (i.e. photos, news, drawings, plans, etc.) Please attach with application if applicable:
 
Name and Contact Information for two references that have knowledge of the nominee's contribution to sustainability in Vernon:
       
Name: Name:
Address: Address:
Phone: Phone:
Email: Email:
   

Your Name and Contact Information:

 
       
Name: *    
Mailing Address: *    
Phone: *    
Email: *